A 3-Year-Old Boy Is Being Evaluated for Recurrent Generalized Seizures

question 649

Multiple Choice

A 3-year-old boy is being evaluated for recurrent generalized seizures and developmental delay.  Physical examination is notable for scattered hypopigmented skin patches.  MRI of the head reveals multiple masses, most of which line the ependymal surfaces of the lateral ventricles, and some are calcified, as shown in the below image. Which of the following is the most likely underlying cause of this patient's brain lesions?

• A)Benign hamartoma formation
• B)Lysosomal metabolite accumulation
• C)Malignant lymphoid proliferation
• D)Mycobacterial meningeal invasion
• E)Tapeworm larvae migration

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Definitions:

Gender Roles

Societal norms dictating what types of behaviors are generally considered acceptable, appropriate, or desirable for a person based on their actual or perceived sex.

Workforce

The group of people who are employed or available for employment, either in a specific region or in a specific industry.

Gender Identity

An individual's personal sense of their own gender, which may or may not correspond to the sex assigned at birth, and can be different from societal expectations.

Turner Syndrome

A chromosomal disorder affecting females, characterized by the partial or complete absence of one X chromosome.